Provider Demographics
NPI:1558390732
Name:DANMAT CORPORATION
Entity Type:Organization
Organization Name:DANMAT CORPORATION
Other - Org Name:CARE DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BASSAM
Authorized Official - Middle Name:HANNA
Authorized Official - Last Name:MASSAAD
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:619-441-8811
Mailing Address - Street 1:505 N MOLLISON AVE # 101
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92021-6159
Mailing Address - Country:US
Mailing Address - Phone:619-441-8811
Mailing Address - Fax:619-441-8073
Practice Address - Street 1:505 N MOLLISON AVE # 101
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92021-6159
Practice Address - Country:US
Practice Address - Phone:619-441-8811
Practice Address - Fax:619-441-8073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY472483336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHA472480Medicaid
CA0515392OtherNABP#
CA5651640001Medicare ID - Type Unspecified